Implementing a Primary Mental Health Service for Children: Administrator and Provider Perspectives

The Child Mental Health Service (CMHS) is an Australian primary care program introduced in July 2010 to provide mental healthcare to children who have, or are at risk of, developing psychological disorders. The Australian Government provided supports (e.g., training for mental health professionals), resources (e.g., funding for positions devoted to fostering inter-agency linkages or partnerships) and various flexibilities in service delivery. This study aimed to explore the processes used in the implementation of the CMHS in order to achieve its objectives of delivering a high quality standard of service, and forging linkages and support networks with other relevant health and non-health agencies. Structured interviews were conducted with 20 program administrators, six referring professionals and eight mental health professionals. Interviews were recorded, transcribed and analysed for themes using NVivo. The CMHS appears to have made good progress towards achieving its objectives by implementing processes that facilitated the delivery of a high quality service (e.g., engaging appropriately qualified, and encouraging additional training and clinical support for, mental health professionals; employing quality assurance mechanisms and clinical governance arrangements) and establishment of inter-agency linkages (e.g., devoting a professional role—Coordination and Liaison—to this purpose). Provider perspectives suggest that the CMHS has had a positive impact on children and their families. Comparable countries implementing primary mental health programs for children may benefit from considering similar additional supports (e.g., training for mental health professionals), resources (e.g., funding positions devoted to fostering service inter-agency linkages) and service delivery flexibilities as those available in the CMHS.     

Evaluating everyday explanations

People frequently rely on explanations provided by others to understand complex phenomena. A fair amount of attention has been devoted to the study of scientific explanation, and less on understanding how people evaluate naturalistic, everyday explanations. Using a corpus of diverse explanations from Reddit’s “Explain Like I’m Five” and other online sources, we assessed how well a variety of explanatory criteria predict judgments of explanation quality. We find that while some criteria previously identified as explanatory virtues do predict explanation quality in naturalistic settings, other criteria, such as simplicity, do not. Notably, we find that people have a preference for complex explanations that invoke more causal mechanisms to explain an effect. We propose that this preference for complexity is driven by a desire to identify enough causes to make the effect seem inevitable.     

Examining the Prevalence and Predictors of Injury From Adolescent Dating Violence

Medical needs of youth who experience dating violence are not well understood because of limited past research examining the prevalence and predictors of injuries and medical help seeking. To address these gaps, the current study described the prevalence and predictors of injuries from dating violence from grades 8 through 12 in a large sample of youth. Results indicate that one third to one half of youth who experienced any physical and/or sexual dating violence also sustained an injury. Prevalence of injury was highest in the 8th grade and was significantly higher for females than for males across grades 8 through 11. Youth who experienced greater amounts of violent victimization in their relationships (physical, sexual, and psychological) were at the highest risk for injury. Results also suggest that victims at highest risk for injury are girls, White youth, those experiencing multiple types of violence, and those who also engage in perpetration. Given the high prevalence of injury among youth who report dating violence, healthcare professionals may be in a unique position to screen and counsel youth about dating violence. Because the highest prevalence of injury occurred before high school, prevention programs should start early and selected prevention may be used for youth at highest risk for injury.     

Achieving Population-Level Change Through a System-Contextual Approach to Supporting Competent Parenting

The quality of parenting children receive affects a diverse range of child and youth outcomes. Addressing the quality of parenting on a broad scale is a critical part of producing a more nurturing society. To achieve a meaningful population-level reduction in the prevalence rates of child maltreatment and social and emotional problems that are directly or indirectly influenced by parenting practices requires the adoption of a broad ecological perspective in supporting families to raise children. We make the case for adopting a multilevel, whole of population approach to enhance competent parenting and describe the essential tasks that must be accomplished for the approach to be successful and its effects measurable. We describe how a theoretically integrated system of parenting support based on social learning and cognitive behavioral principles can be further strengthened when the broader community supports parental participation. Implications for policy and practice are discussed.     

Preschoolers search for hidden objects

The issue of whether young children use spatio-temporal information (e.g., movement of objects through time and space) and/or contact-mechanical information (e.g., interaction between objects) to search for a hidden object was investigated. To determine whether one cue can have priority over the other, a dynamic event that put these cues into conflict was created, with only spatio-temporal information being valid. The 3-year-olds used in the study were found to use the valid spatio-temporal cue exclusively and seemed to ignore the contact-mechanical cue. Both search behavior and eye tracking during the event support the view of a sophisticated sensitivity to the validity of a cue in indicating a target’s hidden location.     

"What about me?" Perceptions of exclusion and whites' reactions to multiculturalism

A 5-study investigation of reactions of dominant group members (i.e., White Americans) to diversity (relative to racial minority reactions) provides evidence of implicit and explicit associations between multiculturalism and exclusion and of a relationship between perceived exclusion and reactions to diversity. In Study 1, Whites but not racial minorities were faster in an implicit association task at pairing multiculturalism with exclusion than with inclusion. This association diminished in Study 2 through a subtle framing of diversity efforts as targeted toward all groups, including European Americans. In Study 3, in a "Me/Not Me" task, Whites were less likely than minorities to pair multiculturalism concepts with the self and were slower in responding to multiculturalism concepts. Furthermore, associating multiculturalism with the self (Study 3) or feeling included in organizational diversity (Study 4) predicted Whites' endorsement of diversity and also accounted for the oft-cited group status difference in support for diversity initiatives. Study 5 showed that individual differences in need to belong moderated Whites' interest in working for organizations that espouse a multicultural versus a color-blind approach to diversity, with individuals higher in need to belong less attracted to organizations with a multicultural approach. Overall, results show that the purportedly "inclusive" ideology of multiculturalism is not perceived as such by Whites. This may, in part, account for their lower support for diversity efforts in education and work settings.     

Direct and distal effects of noncontingent juice on rumination exhibited by a child with autism

Previous research has demonstrated the efficacy of the noncontingent delivery of foods and liquids at suppressing rumination, the repeated regurgitation and rechewing of partially digested food. However, it is unclear how long this reduction is maintained after caregivers terminate this procedure. The current study examined the direct and distal effects of noncontingent juice on rumination by measuring the duration of rumination during juice delivery and immediately following the termination of juice delivery. Noncontingent juice suppressed rumination, but this suppression was not maintained after delivery termination.     

The role of system-justification motivation, group status and system threat in directing support for hate crimes legislation

We examine factors that explain variability in attitudes toward hate crimes legislation. We find that one's posture toward the current social system directs the conditions under which characteristics of hate crimes exert the most influence. System-justification motivation is negatively related to support for hate crimes legislation (Studies 1-3). This relation is partially mediated by perceptions of harm from hate crimes. Specifically, when hate crimes target low-status groups, system-justification motivation is negatively related to perceived harm and support for hate crimes legislation. Attitudes are unaffected when high-status groups are targeted. The status of the group targeted, perceptions of hate crimes as representative of the status quo, and temporarily enhanced feelings of system threat moderate this relation (Studies 2-4).